All animals need to sense temperature to avoid hostile environments and to
regulate their internal homeostasis. A particularly obvious example is that
animals need to avoid damagingly hot stimuli. The mechanisms by which temp
erature is sensed have until recently been mysterious, but in the last coup
le of years, we have begun to understand how noxious thermal stimuli are de
tected by sensory neurons. Heat has been found to open a nonselective catio
n channel in primary sensory neurons, probably by a direct action. Ina sepa
rate study, an ion channel gated by capsaicin, the active ingredient of chi
li peppers, was cloned from sensory neurons. This channel (vanilloid recept
or subtype 1, VR1) is gated by heat in a manner similar to the native heat-
activated channel, and our current best guess is that this channel is the m
olecular substrate for the detection of painful heat. Both the heat channel
and VR1 are modulated in interesting ways. The response of the heat channe
l is potentiated by phosphorylation by protein kinase C, whereas VR1 is pot
entiated by externally applied protons. Protein kinase C is known to be act
ivated by a variety of inflammatory mediators, including bradykinin, wherea
s extracellular acidification is characteristically produced by anoxia and
inflammation. Both modulatory pathways are likely, therefore, to have impor
tant physiological correlates in terms of the enhanced pain (hyperalgesia)
produced by tissue damage and inflammation. Future work should focus on est
ablishing, in molecular terms, how a single ion channel can detect heat and
how the detection threshold can be modulated by hyperalgesic stimuli.